EFTA00308491.pdf

Seller Agreement Number. Arc number. 194805 CHRISTIE'S Arc Name. The Haze Trust Mailing Address Account Address .1he Haze Trust The Haze Trust 6100 Red Hook Quarter, B3 6100 Red Hook Quarter, B3 00802 St Thomas 00802 St Thomas United States Outlying Islands United States Outlying Islands ALL INSTRUCTIONS MUST BE INCLUDED ON THIS FORM - ATTACHMENTS WILL NOT BE ACCEPTED PAYMENT DETAILS • CONFIRMATION Thank you for your recent consignment to Christie's. To ensure you receive funds due by your preferred method, please review the information below to ensure the information we hold is appropriate. If the details below are correct, please sign and date the form below. If the bank details require amendment, please complete the form 'Payment - New Instructions' (Page 2). If you would prefer to be paid by cheque please indicate here, sign and return this page only. Please note: Payments will only be made to the name stated on the Seller Agreement (A/c name' above). Payment will be made in the primary currency of the auction unless otherwise requested and agreed by us. If you would like receipt of funds in an alternative currency, this can be arranged. For more information around the terms and conditions please contact your local sale site. We will make settlement, in accordance with the Seller Agreement slated above, to the relevant account(s) above, upon receipt by us of a signed copy of this Payment Instruction fomi. By signing this document you maps the above conditions, whit* if *tentfrom the Seller Agreement, will prevail. Unsignedforms will not be accepted. Signature Name (Please Print) Date EFTA00308491 Seller Agreement Number: 194805 CHRISTI E'S Arc number. - Arc Name. The Haze Trust PAYMENT • NEW INSTRUCTIONS Please complete, sign and date the form. Sale Site: Currency*: Account name** : Bank Account Number Sort/Routing Number IBAN** Bank Name** Swift Code** Branch Address Additional Information: Correspondent/Intermediary Bank DemiLs (if applicable): Bank Name Swift Code** Account Number Branch Address ** Mandatory,fieldsfor transfers to European banks Please tick here if you would like this to be the primary payment method for the sale site: 0 Please note: Payments will only be made to the name stated on the Seller Agreement ('A/c name' above). *Payment will be made in the primary currency of the auction unless otherwise requested and agreed by us. If you would like receipt of funds in an alternative currency, this can be arranged. For more inforntation around the terms and conditions please contact your local sale site. We will make settlement, in accordance with the Seller Agreement stated above, to the relevant account(s) above, upon receipt by us of a signed copy of this Payment Instruction fonn. By signing this dimmer's you accept the above conditions, whit* if Afferentfrom she Seller Agreement, will prevail. Unsignedforms will not be accepted. Signature Name (Please Print) Date EFTA00308492